What to Know About Being Accused of Insurance Fraud as a Physician

There are many ways that medical professionals may risk losing their medical licenses. One of the ways that this may occur is through allegations of medical malpractice by harming a patient physically. Another way that a physician may risk losing their license is by being accused of insurance fraud. This does not have as severe of a physical implication on a patient. However, it can have a huge impact on certain health medical organizations. If it is believed that you are overcharging for services, you can expect that you will be reprimanded aggressively. To learn more about being accused of insurance fraud as a physician, continue reading and speak with our knowledgeable New York City medical misconduct defense attorney.

What will happen after I have been accused of insurance fraud as a physician?

It is possible that if you are being accused of insurance fraud by an HMO, this circumstance may be a simple discrepancy or mistake that can be easily remedied. However, if the HMO believes that you have been purposefully overcharging for your services, this incident may be reported to the Department of Health. If you are charged with fraudulent billing, an investigation by the OPMC will likely be opened and you will likely be required to repay the amount you allegedly overcharged. When an OPMC investigation is launched, you will risk losing your medical license for a period of time.

If you are facing allegations of insurance fraud as a physician, it is important that you retain the services of an experienced medical malpractice attorney who can help you to negotiate a settlement with the HMO to resolve the matter without such drastic measures being taken such as the loss of your medical license. Our firm will fight for your right to practice medicine so you can continue to help others.

How can I avoid being accused of insurance fraud as a physician?

To avoid being accused of insurance fraud as a physician, it is important that you ensure that your staff hires a billing firm that will guide your practice through proper billing. Having the assistance of a billing firm on your side will help you to avoid discrepancies as well as help you to legally maximize your billing to receive the highest amount permitted under law.

If you have any further questions about this process, do not hesitate to reach out to our firm today.

Contact our experienced New York City firm

When a medical professional is accused of misconduct, they must retain strong legal representation. If you require a medical law attorney for your legal matters, call Paul E. Walker, an experienced New York City OPMC & OPD Lawyer. Please contact the Walker Medical Law firm to set up a free initial consultation.